Colonoscopy Complications in Patients With Inflammatory Bowel Disease at a Norwegian University Hospital
Teodora Kosjerina, Øystein Avlesen, Daniel Torkelsen, Torbjørn Wisløff, Tomm Bernklev, Jørgen Jahnsen, Stephan Andreas BrackmannBackground:
The frequency of minor complications following colonoscopy remains poorly characterized, particularly in patients with inflammatory bowel disease (IBD) undergoing chromoendoscopy.
Aims:
This study aims to determine the frequency of complications in colonoscopy and dye-based chromoendoscopy.
Methods:
We included both IBD and non-IBD inpatients and outpatients over 18 years of age who underwent lower endoscopies between January and May 2021. Trained interviewers contacted all patients by telephone 7 days after their colonoscopy and asked standardized questions to determine whether any new symptoms had emerged. In addition, we reviewed the medical records of all patients from the same time period at 7 and 30 days after the colonoscopy to document any contact with medical professionals, hospitalizations, or new procedures performed at the emergency or gastrointestinal unit.
Results:
Of 482 patients included, 444 (92%) were interviewed. Among these, 22 patients (5%) were hospitalized within 30 days of the endoscopy, while 271 patients (62%) reported minor complications that did not require hospitalization. Male patients [adjusted odds ratio (OR)=0.63;0.42-0.930;
Conclusion:
In the present study, minor complications after lower endoscopy were common but less likely when chromoendoscopy was performed.